Agenda · Board Of Health — 2024-09-09

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Agenda · Board Of Health — 2024-09-09 | CivicBeam

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Board of Health · 2024-09-09

11 structured lines in this file · ward references on 1 line.

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Scheduled disposition tags on file: Approved: 6 · Amended: 2 · Other: 3
1 distinct ward reference value on scheduled lines.

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Toronto Public Health 2025 Operating Budget Submission — amended
AmendedHigh impact
Mobile Dental Care Program: 2025 Update — amended
Amended
Preliminary Toronto Public Health 2025 Operating Budget and 2025-… — updated
High impact
Preliminary Toronto Public Health 2025 Operating Budget and 2025-… — updated
High impact
Toronto Public Health 2025-2034 Capital Budget and Plan Request — approved

Item-by-item record

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11 lines in this record.

#	Item	Type	Wards
2024.HL16.1	Update from the Medical Officer of Health Hiring Committee	ACTION	All
2024.HL16.2	Toronto Public Health 2025 Operating Budget Submission	ACTION	All
2024.HL16.2a	Preliminary Toronto Public Health 2025 Operating Budget and 2025-2034 Capital Budget and Plan	ACTION	All
2024.HL16.3	Toronto Public Health 2025-2034 Capital Budget and Plan Request	ACTION	All
2024.HL16.3a	Preliminary Toronto Public Health 2025 Operating Budget and 2025-2034 Capital Budget and Plan	ACTION	All
2024.HL16.4	Toronto Public Health Operating Budget Variance for the Six Months Ended June 30, 2024	ACTION	All
2024.HL16.5	Toronto Public Health Capital Budget Variance for the Six Months Ended June 30, 2024	ACTION	All
2024.HL16.6	Mobile Dental Care Program: 2025 Update	ACTION	All
2024.HL16.7	Appointment of Members to the Our Health, Our City Implementation Panel	ACTION	All
2024.HL16.8	Increasing access to mpox vaccine in Toronto	ACTION	All
2024.HL16.9	Critical Need For Universal Student Nutrition	ACTION	All

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Agenda Items

Agenda Item Id	Communication Type Cd	Urgent	In Camera	Publish Type Cd	Consideration	Status	Statutory	Title	Reference	Publish Decision Ind	Publish Motion Ind	Publish Vote Ind	Publish Ruling Ind	Recommendation Wep	Financial Impact Wep	Agenda Item Summary	Ai Meeting Number	Ai Order Number	Db Publish Label Cd	Agenda Cd	Wards	Pre Meeting Event Ind	Staff Report	Communication Type Desc	Consider Type Desc	Item Status Desc	Publish Type Desc	Decision Body Publish Label	Speaker Interested Persons	Committee Communications	Council Communications	Committee Attachments	Council Attachments	Committee Motions	Council Motions	Committee Rulings	Council Rulings	Committee Declared Interests	Council Declared Interests	Decision Type Desc	Has Decison Information	Consent Item Status Desc	Pre Meeting Speakers List	Pre Meeting Interested Persons	Post Meeting Speakers List	Post Meeting Interested Persons	Ai Sub Order Letter	Council Consider Date
136334	LETTER	N	N	MAIN	ACTION	ADOPTED	N	Update from the Medical Officer of Health Hiring Committee	2024.HL16.1	Y	Y	Y	Y	<p>Councillor Chris Moise recommends that:</p> <p> </p> <p>1. The Board of Health receive this letter for information.</p>		<p> </p> <p>I would like to provide an update on the hiring process for the next Medical Officer of Health.</p> <p> </p> <p>At our meeting on May 24, 2024, we struck a hiring committee to lead the hiring process. The committee convened for the first time on July 22 to discuss the requirements of the Medical Officer of Health position, select an executive search firm to support the hiring process and outline in more detail the hiring timeline. Phelps Group was selected to assist with the hiring process and they have since been working to engage key stakeholders and prepare the job profile for posting.</p> <p> </p> <p>The following timeline outlines the next steps in the hiring process:</p> <p> </p> <p>- September 26 - October 10: Preliminary Interviews</p> <p>- October 15 - October 18: First Round Interviews</p> <p>- October 22: Second Round Interviews</p> <p>- November 6: Special Board of Health Meeting to Recommend Medical Officer of Health Appointment (date to be confirmed)</p> <p>- November 18: Medical Officer of Health Appointment at Board of Health</p> <p>- December 17: Medical Officer of Health Appointment Approval at City Council</p> <p>- December 19: Transmittal of Medical Officer of Health Appointment to the Minister</p> <p> </p> <p>I will continue to provide updates at our Board of Health meetings as the hiring process unfolds.</p>	16	1	BOARD	HL

Meeting

Meeting Id

24465

Decision Body Id

2564

boh@toronto.ca

Special Meeting Cd

Meeting Number

Mtg Status Cd

COMPLETE

Official Chair Member Id

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Official Chair Salutation Cd

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Current Process Id

Minutes Confirm Date

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Term Year

2024

Official Chair First Name

Chris

Official Chair Last Name

Moise

Official Chair Salutation Desc

Councillor

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Agenda

Agenda Id: 43248
Show Status Cd: ON
Agenda Instructions Wep: <table style="width: 718px; border-collapse: collapse; height: 104px;"> <tbody> <tr style="height: 18px;"> <td style="padding: 0in 5.4pt; border: 1pt solid windowtext; width: 668px; background-color: transparent; height: 18px;" colspan="3"> Board of Health </td> </tr> <tr style="height: 73.6px;"> <td style="border-width: 0px 1pt 1pt; border-style: none solid solid; border-color: #000000 windowtext windowtext; padding: 0in 5.4pt; width: 246.719px; background-color: transparent; height: 73.6px; vertical-align: top;"> Councillor Chris Moise, Chair Councillor Alejandra Bravo, Vice Chair Abinaya Chandrabalan Lindsay Kretschmer </td> <td style="border-width: 0px 1pt 1pt 0px; border-style: none solid solid none; border-color: #000000 windowtext windowtext #000000; padding: 0in 5.4pt; width: 227.281px; background-color: transparent; height: 73.6px; vertical-align: top;"> Deputy Mayor Ausma Malik Councillor Amber Morley Charles Ozzoude Councillor Gord Perks Suman Roy </td> <td style="border-width: 0px 1pt 1pt 0px; border-style: none solid solid none; border-color: #000000 windowtext windowtext #000000; padding: 0in 5.4pt; width: 194px; background-color: transparent; height: 73.6px; vertical-align: top;"> Ramanjeet Singh Trustee Anu Sriskandarajah Councillor Michael Thompson Stephanie Zhou </td> </tr> </tbody> </table>   This meeting of the Board of Health will be conducted with members participating in person and remotely.   Directors of the Board and participating City Officials will be provided with the video conference details closer to the meeting date.   To provide comments or make a presentation to the Board of Health:   The public may submit written comments or register to speak to the Board on any item on the agenda.   Written comments may be submitted by writing to <a href="mailto:boh@toronto.ca">boh@toronto.ca</a>.   To speak to the Board, please register by e-mail to <a href="mailto:boh@toronto.ca">boh@toronto.ca</a> or by phone at 416-397-4592. Registered speakers will be provided with instructions on how to participate in the meeting.   Special Assistance for Members of the Public: City staff can arrange for special assistance with some advance notice. If you need special assistance, please call 416-397-4592, TTY 416-338-0889 or e-mail <a href="mailto:boh@toronto.ca">boh@toronto.ca</a>.   Closed Meeting Requirements: If the Board of Health wants to meet in closed session (privately), a director of the Board must make a motion to do so and give the reason why the Board has to meet privately (City of Toronto Act, 2006).   Notice to People Writing or Making Presentations to the Board of Health: The City of Toronto Act, 2006 and the City of Toronto Municipal Code authorize the City of Toronto to collect any personal information in your communication or presentation to City Council or its Committees and Boards. The City collects this information to enable it to make informed decisions on the relevant issue(s). If you are submitting letters, faxes, e-mails, presentations or other communications to the City, you should be aware that your name and the fact that you communicated with the City will become part of the public record and will appear on the City's website. The City will also make your communication and any personal information in it - such as your postal address, telephone number or e-mail address - available to the public, unless you expressly request the City to remove it.   Many Committee, Board, and Advisory Body meetings are broadcast live over the internet for the public to view. If you speak at the meeting you will appear in the video broadcast. Video broadcasts are archived and continue to be publicly available.   If you want to learn more about why and how the City collects your information, write to the City Clerk's Office, City Hall, 100 Queen Street West, Toronto ON M5H 2N2 or call 416-397-4592.     <a href="http://app.toronto.ca/tmmis/index.do">toronto.ca/council</a>   This agenda and any supplementary materials submitted to the City Clerk can be found online at <a href="http://app.toronto.ca/tmmis/index.do">toronto.ca/council</a>. Visit the website for access to all agendas, reports, decisions, and minutes of City Council and its Committees and Boards.   Declarations of Interest under the Municipal Conflict of Interest Act   Confirmation of Minutes - July 8, 2024 (regular meeting) and July 9, 2024 (special meeting) <p style="margin: 0px; font-family: 'Times New Roman', Times, serif, Arial, Helvetica, sans-serif; font-size: 16px; color: #000000; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">  <p style="margin: 0px; font-family: 'Times New Roman', Times, serif, Arial, Helvetica, sans-serif; font-size: 16px; color: #000000; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Speakers/Presentations - The speakers list will be posted online at 8:30 a.m. on September 9, 2024 <p style="margin: 0px; font-family: 'Times New Roman', Times, serif, Arial, Helvetica, sans-serif; font-size: 16px; color: #000000; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">  <p style="margin: 0px; font-family: 'Times New Roman', Times, serif, Arial, Helvetica, sans-serif; font-size: 16px; color: #000000; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Communications/Reports

Phone

Phone Id: 23561
Area Code: 416
Phone Number: 397-4592

Mmis User

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User Email: awahl@toronto.ca
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Committee Code

Committee Code Id: 16
Committee Code: HL

Decision Body Type

Tier: 2

Term

Term Id: 8
Term Type: 2022-2026
Trm Start Date: 1668488400000
Trm End Date: 1794632400000

Meetings

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Location Dates

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25863	1725854400000	1725888600000	Y	…

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Meeting Reference

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Location Name: Committee Room 1, City Hall/Video Conference

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Location

Location Id: 601
Location Name: Committee Room 1, City Hall/Video Conference

Grouped Council Consider Dates

136335

REPORT

MAIN

ACTION

AMENDED

Toronto Public Health 2025 Operating Budget Submission

2024.HL16.2

The Medical Officer of Health recommends that:   1. The Board of Health request the Mayor to propose a 2025 Operating Budget to City Council for Toronto Public Health of $282,833.0 thousand gross, $79,803.6 thousand net, and 1,887.0 positions, as summarized in Table 1, Overview of the TPH 2025 Operating Budget Submission, which includes the following incremental changes from the TPH 2024 Operating Budget:   a. a decrease of $1,115.7 thousand gross, $0.0 net and 7.0 temporary positions for the Injectable Opioid Agonist Treatment Program;   b. an increase in revenue of $1,957.1 thousand to accept additional funds from the provincial government to support the delivery of Ontario Public Health Standards programs and services;   c. an increase in budget of $327.3 thousand to accept additional funds from the provincial government's Ministry of Children, Community and Social Services to support the delivery of the Healthy Babies Healthy Children Program;   d. an increase of $886.3 thousand gross and $886.3 thousand net for inflationary cost of food increases and projected growth in student participation in the Student Nutrition Program;   e. an increase of $1,621.7 thousand gross and $1,621.7 thousand net and 17.0 positions for salaries and benefits;   f. a decrease of $406.2 thousand gross, $453.0 thousand net and 3.0 positions for 2025 administrative and technical adjustments;   g. a decrease of $68.0 thousand gross, $0.0 net for the Partnership for Healthy Cities one-time grant; and   h. a decrease of $1,242.4 thousand gross, $0.0 net and 14.0 temporary positions for the Supervised Consumption Site.   2. The Board of Health direct that this report be forwarded to the Budget Committee for consideration during the 2025 Budget process.

Toronto Public Health's 2025 Operating Budget Submission totals $282,833.0 thousand gross, $79,803.6 thousand net and 1,887.0 positions. This submission is $3.0 thousand gross, $98.0 thousand net higher 1.0 positions lower than the 2024 Operating Budget.   The Chief Financial Officer and Treasurer has been advised of the financial impacts associated with this submission to be considered along with other priorities as part of the annual budget process.

This report outlines the Toronto Public Health 2025 Operating Budget Submission for consideration by the Board of Health. Toronto Public Health's 2025 Operating Budget Submission is $282,833.0 thousand gross, $79,803.6 thousand net and 1,887.0 positions.   This 2025 Operating Budget Submission is higher than the 2024 Operating Budget by $3.0 thousand gross, $98.0 thousand net with 1.0 fewer positions, due to the end of federal funding for the Injectable Opioid Agonist Treatment Program and the termination of provincial funding for Supervised Consumption Sites in 2025.  Additional information on the change between the 2025 Operating Budget Submission and the 2024 Operating Budget is available in Table 1 in this report.   The 2025 Operating Budget Submission includes in-year changes, and base changes as detailed in the recommendations in this report.

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136336

REPORT

MAIN

ACTION

ADOPTED

Toronto Public Health 2025-2034 Capital Budget and Plan Request

2024.HL16.3

The Medical Officer of Health recommends that:     1. The Board of Health request the Mayor to propose a 2025 Capital Budget to City Council for Toronto Public Health with total cash flows and future year commitments of $7.780 million, including a 2025 cash flow of $3.996 million.   2. The Board of Heath request the Mayor to propose a 2026-2034 Capital Plan to City Council for Toronto Public Health with total project estimates of $16.189 million, comprised of $0.449 million in 2027, $0.667 million in 2028 and $0.732 million in 2029, $2.868 million in 2030, $2.868 million in 2031, $2.868 million in 2032, $2.868 million in 2033 and $2.869 million in 2034.   3. The Board of Health direct that this report be forwarded to the Budget Committee for consideration during the 2025 Budget process.

Toronto Public Health is recommending a 2025-2034 Capital Budget and Plan of $23.969 million, including a 2025 Capital Budget of $3.996 million with future year commitments of $3.784 million and future year estimates of $16.189 million.   The Chief Financial Officer and Treasurer has been advised of the financial impacts associated with the recommended 2025-2034 Capital Budget and Plan of Toronto Public Health to be considered along with other priorities as part of the annual Budget process.

This report provides an overview of Toronto Public Health's 2025 Capital Budget and 2026-2034 Plan Request.   Toronto Public Health is recommending a 2025-2034 Capital Budget and Plan of $23.969 million, including a 2025 Capital Budget of $3.996 million with future year commitments of $3.784 million and future year estimates of $16.189 million. The 10 Year Capital Budget and Plan Request will provide funding for seven projects.

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ADOPTED

Toronto Public Health Operating Budget Variance for the Six Months Ended June 30, 2024

2024.HL16.4

The Medical Officer of Health recommends that:     1. City Council authorize the Medical Officer of Health to enter into agreements and other suitable arrangements, on behalf of the City of Toronto, for the transfer of funds to the Angel Foundation for Learning ($50,000) and the Toronto Foundation for Student Success ($100,000) for the purpose of replacing refrigeration equipment for existing student nutrition programs across the City of Toronto on terms satisfactory to the Medical Officer of Health and in a form satisfactory to the City Solicitor.

As of June 30, 2024, Toronto Public Health's gross expenditure was lower by $17.8 million (15.5 per cent) and revenue was lower than budgeted by $12.0 million (13.6 per cent), resulting in a net favourable variance of $5.8 million (22.1 per cent). The favourable gross expenditure variance of $17.8 million was primarily driven by underspending in cost-shared programs that have been paused or reduced and in provincially-funded programs such as Ontario Seniors Dental Care Program due to challenges in recruitment.   At year end, gross expenditure is expected to be underspent by $22.7 million (8.0 per cent) and revenue will be underachieved by $13.6 million (6.7 per cent), resulting in a net expenditure of $9.1 million under budget (11.4 per cent).   Funding for the replacement of aging refrigeration equipment to support the student nutrition program will be accommodated within the current year operating budget.

This report provides an update to the Board of Health on the Toronto Public Health Operating Budget Variance for the six months ended on June 30, 2024.   As of June 30, 2024, Toronto Public Health gross expenditure was underspent by $17.8 million and revenue was underachieved by $12.0 million, resulting in a net favourable variance of $5.8 million.   At year end, gross expenditure is expected to be underspent by $22.7 million and revenue will be unachieved by $13.6 million, resulting in net expenditure being under budget by $9.1 million.   This report also recommends that City Council authorize the Medical Officer of Health to enter into agreements with the Angel Foundation for Learning and the Toronto Foundation for Student Success to transfer funds, in the amount of $50,000 and $100,000 respectively, for the purpose of replacing aging refrigeration equipment, at no net cost to the City of Toronto. This equipment is used in the delivery of student nutrition programs across the City of Toronto.

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136339

REPORT

MAIN

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AMENDED

Mobile Dental Care Program: 2025 Update

2024.HL16.6

The Medical Officer of Health recommends that:   1. The Board of Health direct the Medical Officer of Health to decommission the mobile dental bus and work with the Fleet Services Division to initiate a process to auction the bus and return any recovered funds from the auction after netting associated costs to the provincial Ministry of Health.   2. The Board of Health direct the Medical Officer of Health to include $460 thousand, fully funded by the discretionary Reserve Fund for Public Health, in the 2025-2034 Capital Budget and Plan Submission for Toronto Public Health to purchase a new mobile dental van.

Fleet Services Division estimates that a total of $40 to $50 thousand, after netting associated costs, could be recovered through the auction of the dental bus. Since the provincial Ministry of Health covered 100 per cent of the original costs of the mobile dental bus, funds collected from auctioning the bus after netting associated costs would need to be returned to the provincial Ministry of Health, with no financial impact to the City.   A new mobile dental van is estimated to cost $460 thousand. Toronto Public Health will include $460 thousand, fully funded by the discretionary Reserve Fund for Public Health, in the 2025-2034 Capital Budget and Plan Submission to purchase the recommended new mobile dental van.   The Chief Financial Officer and Treasurer has reviewed this report and agrees with the information as presented in the Financial Impact Section.

The Dental and Oral Health Services program at Toronto Public Health provides integral dental and oral health care to vulnerable populations in Toronto. The Ontario Public Health Standards and the <a href="https://files.ontario.ca/moh-oral-health-protocol-en-2021.pdf">Oral Health Screening Protocol, 2021</a> specify the mandatory oral health services to be offered by local public health units.   As part of achieving its plan to promote health and well-being across the lifespan and advance health equity, Toronto Public Health offers a mobile dental program that currently includes two mobile dental vans and a mobile dental bus focused on supporting harder to reach populations. The mobile dental bus has been in operation since 2012, and the interior and exterior of the bus has significantly declined over the past year.   This report makes recommendations to decommission and auction the mobile dental bus and return funds collected to the provincial Ministry of Health. The Ministry of Health provided the funds for the bus in 2011 through the Healthy Smiles Ontario program. A parallel request to City Council for capital funding to purchase a new mobile dental van to replace the bus is coming forward through the 2025 Budget process.   The report has been reviewed by the Fleet Services Division and Finance and Treasury Services.

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136340

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ADOPTED

Appointment of Members to the Our Health, Our City Implementation Panel

2024.HL16.7

The Medical Officer of Health recommends that:   1. The Board of Health appoint the twelve candidates listed in Attachment 1 to this report to the Our Health, Our City Implementation Panel, for a 2.5-year term beginning on September 9, 2024, and ending on March 9, 2027, and until successors are appointed.

Based on anticipated frequency of meetings and the number of members who may be eligible for honoraria, the financial impact to Toronto Public Health to provide honoraria for the Our Health, Our City Implementation Panel for 2024-2027 term is estimated to be $1,800 per year.   These costs can be accommodated within the 2024 Operating Budget for Toronto Public Health and will be included in future years.   The Chief Financial Officer and Treasurer has reviewed this report and agrees with the financial impact information.

In November 2023, the Board of Health adopted <a href="https://www.toronto.ca/wp-content/uploads/2023/11/977e-PublicHealthOurHealthOurCityMHAStrategy.pdf">Our Health, Our City: A Mental Health, Substance Use, Harm Reduction and Treatment Strategy for Toronto</a>, which is a comprehensive five-year and city-wide strategy to address both mental health and substance use related issues in Toronto.   In March 2024, the Board of Health directed the Medical Officer of Health to initiate an open process to recruit candidates for a new Our Health, Our City Implementation Panel in consultation with the Chair of the Implementation Panel, and to report back to the Board of Health in the third quarter of 2024 with the recommended candidates for appointment.   This report outlines the recruitment process and recommends twelve candidates for appointment to the Our Health, Our City Implementation Panel.

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136573

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Increasing access to mpox vaccine in Toronto

2024.HL16.8

Councillor Chris Moise recommends that:   1. The Board of Health request the Ministry of Health and Health Canada to explore opportunities to increase access and reduce barriers to health care providers providing the mpox vaccine to their patients.

Since 2022, mpox has been circulating in Toronto and globally. It is spread person to person through direct or indirect contact with infected lesions or blisters or with bodily fluids, or respiratory secretions.  In Toronto, it is mostly transmitted between people who have had close, intimate, or sexual contact, and it has been disproportionately impacting men who have sex with men. The strain circulating in Toronto,  known as clade II mpox, is rarely associated with serious illness.   TPH has a comprehensive mpox response that focuses on collaboration across the organization and in the community. This response includes:   - monitoring trends and data to identify and report changes in risk and local epidemiology, - investigating transmission pathways through case and contact management to quickly identify cases to reduce transmission and helping people who have been exposed obtain post-exposure vaccination, - working with community partners and through our own communications channels to reduce stigma and increase awareness of the risks of mpox, the importance of getting two vaccine doses among priority populations, and channels for accessing vaccines, and  - supporting our health care partners by training health care providers to administer and report mpox vaccinations as required, coordinating and distributing orders of vaccine for healthcare providers, and supplementing their efforts by providing mpox vaccine in TPH clinics.   On August 14, the World Health Organization declared a public health emergency of international concern (PHEIC) due to a clade I outbreak in Africa. Clade I mpox may cause more severe illness and death than clade II. There have been no cases of clade I mpox in Toronto and the risk remains low. Despite the risk remaining low for clade I, and remaining the same for the ongoing clade II outbreak, since the World Health Organization declaration of a PHEIC, Toronto is experiencing increased demand for the mpox vaccine. In response to this increased demand for vaccination TPH has:   - increased mpox vaccination appointments at TPH clinics, - ramped up outreach to healthcare providers to increase accessibility in the healthcare system, which is the primary channel for vaccine access in Toronto, and - onboarded 5 new healthcare providers, with more expected to be onboarded soon.   Given increased demand for the vaccine, and because mpox vaccination is a multi-level governmental effort, I recommend that the Ministry of Health and Health Canada review current processes for accessing the vaccine and look for opportunities to increase access for eligible people, similar to other publicly-funded vaccines.

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